ENGAGE-TB. Operational Guidance M&E. Paris, 2 November ENGAGE-TB Operational Guidance November 2, 2013

Transcription

1 ENGAGE-TB Operational Guidance M&E Paris, 2 November

2 2

3 3

4 Monitoring and evaluation Two indicators monitored: Referrals and new notifications: how many referred by CHWs and CHVs Treatment success rates among those receiving support from CHWs and CHVs Periodic evaluation qualitative information as well Presence of an NCB, trends in membership, etc Quality of NTP interaction with NCB 4

5 Indicator 1: Referrals and new notifications Definition Number of new TB patients (all forms) diagnosed and notified with TB who were referred by community health workers and community volunteers expressed as a percentage of all new TB patients notified in the basic management unit (BMU) during a specified period Numerator Denominator Purpose Method Number of new TB patients (all forms) referred by community health workers or community volunteers to a health facility for diagnosis and notified in the BMU(s) in a specified period Number of new TB patients (all forms) notified in the BMU(s) in the same period To measure the level of engagement of community health workers and community volunteers in increasing new notifications of TB. It can also indicate the effectiveness of the referral system in ensuring the flow of persons with presumptive TB from community-based structures to the BMU. Entries on tuberculosis treatment cards, the presumptive TB register (also known as TB suspects register) kept at facilities, the BMU TB register and the laboratory register should be modified to include Referral by community health workers and community volunteers, to allow standardized recording of the community contribution to referral. The quarterly report on TB registration in the BMU should also be adjusted to record this contribution. 5

6 Indicator 2: Treatment success Definition Numerator Denominator Purpose Method New TB patients (all forms) successfully treated (cured plus completed treatment) who received support for treatment adherence from community health workers or community volunteers among all new TB patients (all forms) provided with treatment adherence support by community health workers or community volunteers (number and percentage) Number of new TB patients (all forms) successfully treated and provided with treatment adherence support by community health workers or community volunteers in the BMU(s) in a specified period Total number of new TB patients (all forms) given treatment adherence support by community health workers or community volunteers in the same period To measure the scope and quality of implementation of community-based TB activities particularly relating to treatment outcome of patients. It can also indicate the acceptability of community health workers or community volunteers to patients with TB as treatment adherence support providers. Treatment adherence includes all efforts and services provided by community health workers and volunteers to TB patients receiving treatment to help them complete their treatment successfully. These can include treatment observation, adherence counselling, pill counting and other activities to monitor both the quantity and timing of the medication taken by a patient. 6

7 Annex 2. Periodic evaluation Purpose Periodic evaluation provides a qualitative view of the progress of community-based TB activities. In particular, it helps to assess the contributions of NGOs and other CSOs to new case notifications and to treatment outcomes. It also indicates whether NGO contributions are increasing or decreasing and reflects the quality of the relations between NTPs and NGOs on the basis of variables such as the frequency of meetings, the quality of such meetings, the cooperation of people involved, the factors in success and the overall interest and drive of the NTP in involving NGOs and other CSOs in TB activities. Indicators Existence of an NCB *trends in membership *frequency of meeting *spread to subnational levels *coordination between levels *mechanisms for transferring knowledge, skills and resources Quality of interaction with the NTP at various levels *frequency of meetings *quality of follow-up on agreed actions *availability of TB diagnostic services and drugs The relative contributions of NGOs and other CSOs and of the government to new case notifications and treatment success, with trends in these variables over time Challenges and hurdles faced by different actors in government and civil society as well as successes and new opportunities 7

8 Thank you 8